Improving Quality and Safety in the Endoscopy Unit (Virtual) | October 2024-ASGE ergonomics guideline

ASGE ergonomics guideline

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The American Society for Gastrointestinal Endoscopy (ASGE) has issued a guideline emphasizing ergonomics to prevent endoscopy-related injuries (ERI) among gastroenterologists. The guideline identifies factors contributing to ERI, which often result in musculoskeletal injuries due to repetitive strain during endoscopy. It provides evidence-based recommendations to reduce ERI risks, including formal ergonomics education and maintaining neutral body posture. Key recommendations also include adjusting monitor and table positions, using antifatigue mats, and incorporating microbreaks and macrobreaks into work schedules. These strategies aim to minimize harm and improve the work conditions for endoscopists.<br /><br />Data shows that 39% to 89% of practicing gastroenterologists and 20% to 47% of trainees report experiencing ERIs, with higher risks for women, small-handed individuals, and those performing high volumes of procedures. Long-term effects of ERIs can be detrimental, causing pain, physical restrictions, and even disability, which makes addressing and preventing these injuries crucial.<br /><br />The guideline, developed through the Grading of Recommendations Assessment, Development, and Evaluation (GRADE) framework, involved extensive evidence review and consensus among experts to generate recommendations. The committee emphasized that these guidelines should be seen as supporting improved care practices and not as rigid standards or substitutes for professional judgement.<br /><br />Suggestions are made for further research to better understand ERIs and develop more ergonomic endoscopic tools. While some recommendations stem from extrapolating data from other medical fields due to limited studies specific to gastroenterology, the guidelines highlight the importance of ergonomics in ensuring the health and efficiency of endoscopists. Overall, the guideline serves as a vital resource for improving ergonomic practices and minimizing the risk of injury among professionals in the field.

Keywords

ASGE guidelines

ergonomics

endoscopy-related injuries

musculoskeletal injuries

gastroenterologists

neutral body posture

microbreaks

antifatigue mats

GRADE framework

ergonomic tools